Organization
RAPIDES PRIMARY HEALTH CARE CENTER, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA L LEWIS (CEO)
(318) 487-4400
Entity
Organization
Contact information
Practice address
1217 WILLOW GLEN RIVER RD, ALEXANDRIA, LA 71302-5454
(318) 487-4400
(318) 487-0525
Mailing address
1217 WILLOW GLEN RIVER RD, ALEXANDRIA, LA 71302-5454
(318) 487-4400
(318) 487-0525
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443751
—
LA
Enumeration date
06/12/2006
Last updated
12/08/2020
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